Individual
GARY WILLIAM DUFRESNE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD/ CREDENTIALS, FORT SAM HOUSTON, TX 78234-4501
(210) 916-2460
Mailing address
1003 RIVER GLN W, SAN ANTONIO, TX 78216-7834
(210) 408-2396
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
02002851A
IN
Other
Enumeration date
10/27/2005
Last updated
07/08/2007
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